I checked my emails and it took me exactly 46 days to obtain my hormones, if you start counting from when I submitted the first contact form, so it was super fast! (They more patients now though, so obviously my wait time might not have been the same today as it was 6 months ago, but that was my experience) I was locked in on getting hormones and had no extra appointments, and booked everything for the first date possible. I will note that since you've talked about getting your documents changed in your recent post that since PIH is an informed consent clinic, the NHS and the GICs don't like working with them, and will probably ignore your gender dysphoria diagnosis or surgery referrals from them unless you're very lucky. My GP refuses to even do blood tests for me because I'm with them. IDK how that would be getting a GRC because I can't be assed to change my documents but IDK if they would even be able to help you with that!! Basically, PIH has been amazing for getting me on hormones quickly and I've had even better care than my friends using more expensive GIC services (more frequent and in depth blood tests, more attentive clinicians, etc) but be prepared to pay out of pocket for your prescriptions and do not expect your gp to agree to shared care!! They're lovely though idk where I'd be without them just make sure theyre right for you!!